﻿
<script src="~/Views/WFJB/WFXS.js"></script>

<div class="page__hd">
    <h1 class="page__title">违法犯罪线索举报</h1>
    <p class="page__desc"></p>
</div>

<div class="page__bd page__bd_spacing">

    <div class="weui-cells__title">违法信息（必填）</div>
    <div class="weui-cells weui-cells_form">
        <div class="weui-cell weui-cell_select weui-cell_select-after">
            <div class="weui-cell__hd"><label class="weui-label">违法行为</label></div>
            <div class="weui-cell__bd">
                <select class="weui-select" id="Wfxw">
                    <option value="0">请选择</option>
                    <option value="黄赌毒">黄赌毒</option>
                    <option value="在逃违法嫌疑人">在逃违法嫌疑人</option>
                    <option value="其它违法行为">其它违法行为</option>
                </select>
            </div>
        </div>
        <div class="weui-cell weui-cell_select weui-cell_select-after">
            <div class="weui-cell__hd"><label class="weui-label">所在地域</label></div>
            <div class="weui-cell__bd">
                <select class="weui-select" id="Xqxz">
                    <option value="0">请选择</option>
                    <option value="扎西镇">扎西镇</option>
                    <option value="双河乡">双河乡</option>
                    <option value="水田镇">水田镇</option>
                    <option value="高田乡">高田乡</option>
                    <option value="罗布镇">罗布镇</option>
                    <option value="旧城镇">旧城镇</option>
                    <option value="三桃乡">三桃乡</option>
                    <option value="麟凤镇">麟凤镇</option>
                    <option value="长安镇">长安镇</option>
                    <option value="庙沟镇">庙沟镇</option>
                </select>
            </div>
        </div>
        <div class="weui-cell">
            <div class="weui-cell__hd"><label class="weui-label">违法地点</label></div>
            <div class="weui-cell__bd">
                <input id="Wfdd" class="weui-input" type="text" placeholder="具体违法地点（可为空）">
            </div>
        </div>

        <div class="weui-cell">
            <div class="weui-cell__hd"><label class="weui-label">简要情况说明</label></div>
        </div>
        <div class="weui-cell">
            <div class="weui-cell__bd">
                <textarea id="Qksm" class="weui-textarea" placeholder="填写被举报违法具体细节信息" rows="3"></textarea>
            </div>
        </div>
    </div>

    <div class="weui-cells__title">违法对象信息（选填）</div>
    <div class="weui-cells weui-cells_form">
        <div class="weui-cell weui-cell_select weui-cell_select-after">
            <div class="weui-cell__hd"><label class="weui-label">类型</label></div>
            <div class="weui-cell__bd">
                <select class="weui-select" id="CarType">
                    <option value="个人">个人</option>
                    <option value="企事业等单位">企事业等单位</option>
                </select>
            </div>
        </div>
        <div class="weui-cell">
            <div class="weui-cell__hd"><label class="weui-label">名称</label></div>
            <div class="weui-cell__bd">
                <input id="CarHp" class="weui-input" type="text" placeholder="单位名称或个人姓名">
            </div>
        </div>
    </div>

    <div class="weui-cells__title">举报人信息（选填）</div>
    <div class="weui-cells weui-cells_form">
        <div class="weui-cell">
            <div class="weui-cell__hd"><label class="weui-label">姓名</label></div>
            <div class="weui-cell__bd">
                <input id="Name" class="weui-input" type="text" placeholder="您的称呼">
            </div>
        </div>
        <div class="weui-cell">
            <div class="weui-cell__hd"><label class="weui-label">身份证号</label></div>
            <div class="weui-cell__bd">
                <input id="IdNumber" class="weui-input" type="number" pattern="[0-9]*" placeholder="您的身份证号">
            </div>
        </div>
        <div class="weui-cell">
            <div class="weui-cell__hd"><label class="weui-label">联系方式</label></div>
            <div class="weui-cell__bd">
                <input id="Tel" class="weui-input" type="tel" pattern="[0-9]*" placeholder="您的手机号码">
            </div>
        </div>
    </div>
    <div class="weui-cells__title">违法照片证据（必填）</div>
    <div class="weui-cells weui-cells_form">
        <div class="weui-cell">
            <div class="weui-uploader">
                <div class="weui-uploader__bd">
                    <input id="Wfzj" type="hidden" />
                    <ul class="weui-uploader__files" id="uploaderFiles"> </ul>
                    <div class="weui-uploader__input-box">
                        <input type="file" id="uploaderInput" accept="image/jpeg,image/jpg;capture=camera" class="weui-uploader__input" />
                    </div>
                </div>
            </div>
        </div>


    </div>
    <label for="weuiAgree" class="weui-agree">
        <input id="weuiAgree" type="checkbox" class="weui-agree__checkbox" checked>
        <span class="weui-agree__text">
            我已阅读并接受"随手拍举报须知"，并愿意承担相关法律责任
        </span>
    </label>
    <div class="weui-btn-area" style="text-align:center;">
        <a class="weui-btn weui-btn_mini weui-btn_primary" id="btnSave">提交</a>
    </div>
</div>
<!--BEGIN toast-->
<div id="toast" style="display: none;">
    <div class="weui-mask_transparent"></div>
    <div class="weui-toast">
        <i class="weui-icon-success-no-circle weui-icon_toast"></i>
        <p class="weui-toast__content">已提交</p>
    </div>
</div>
<!--end toast-->
